摘要
目的了解雅安市芦山震后灾区初中生心理健康水平及干预效果。方法应用症状自量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS),对灾区600名初中生进行心理干预前后心理测评。结果灾区干预前初中生中重度心理问题比例较高的前3位因子依次为抑郁(19.83%),焦虑(19.31%),强迫症状(18.80%);干预前,女生SCL-90总分、躯体化、抑郁、焦虑、恐怖、SDS总分和SAS总分分别为(181.42±32.89)、(1.61±0.43)、(2.20±0.49)、(2.14±0.50)、(2.08±0.54)、(46.97±4.95)、(43.94±5.75)分,均高于男生的(173.61±33.98)、(1.54±0.40)、(2.12±0.53)、(2.03±0.48)、(1.95±0.53)、(45.81±5.43)、(42.11±6.86)分,差异均有统计学意义(P<0.05);干预后,女生SCL-90总分、躯体化、抑郁、焦虑和恐怖因子分别为(151.18±30.41)、(1.56±0.39)、(1.72±0.35)、(1.76±0.41)、(1.58±0.48)分,均高于男生的(147.67±24.17)、(1.49±0.38)、(1.65±0.44)、(1.67±0.40)、(1.44±0.39)分,差异均有统计学意义(P<0.05);干预后男生SCL-90总分、躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、其他、SDS总分和SAS总分均低于干预前,女生各量表及各因子得分均低于干预前,差异均有统计学意义(P<0.05)。结论芦山地震灾区初中生经过干预后心理健康状况有明显改善,且不同性别差异明显。
Objective To explore mental health and the effect of mental health intervention among junior middleschool students in Lushan earthquake disaster area.Methods Symptoms Checklist-90（SCL-90）,Self-Rating Anxiety Scale（SAS）and Self-Rating Depression Scale（SDS）were used to assess the mental health among 600 students before and after a psychological intervention in the disaster area.Results Before the intervention,the three severe psychological problems in the students were depression（19.83%）,anxiety（19.31%）,and compulsive symptoms（18.80%）.Before the intervention,the female students showed significantly higher scores than the male students in total SCL-90 score（181.42 ±32.89 vs.173.61 ± 33.98）,somatizatiion（1.61 ± 0.43 vs.1.54 ± 0.40）,depression（2.20 ± 0.49 vs.2.12 ± 0.53）,anxiety（2.14 ± 0.50 vs.2.03 ± 0.48）,terror（2.08 ± 0.54 vs.1.95 ± 0.53）,SDS score（46.97 ± 4.95 vs.45.81 ± 5.43）,and SAS score（43.44 ± 5.75 vs.42.11 ± 6.86）（all P 〈0.05）.After the intervention,female students still showed higher scores than male students in total SCL-90 score（151.18 ± 30.41 vs.147.67 ± 24.17）,somatization（1.56 ± 0.39 vs.1.49 ± 0.38）,depression（1.72 ± 0.35 vs.1.65 ± 0.44）,anxiety（1.76 ± 0.41 vs.1.67 ± 0.40）,and terror（1.58 ±0.48 vs.1.44 ±0.39）（all P 〈0.05）.After the intervention,both male and female students showed significantly decreased scores in total SCL-90 score and its domains,SDS,and SAS（t = 2.190-14.548 for male and t = 1.974-14.004 for female;all P 〈0.05）.Conclusion The mental health status was improved obviously after the mental health intervention among junior middle-school students in Lushan earthquake disaster area and there was a gender difference in mental health among the students.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2014年第10期1338-1341,共4页
Chinese Journal of Public Health
基金
四川省软科学研究计划项目-芦山"4.20"地震后学生的卫生干预研究(2014ZR0134)
关键词
芦山地震
初中生
不同性别
心理干预
Lushan earthquake
junior middle school student
different gender
mental intervention
